GlobalRPh Renal Dosing Masterv7.4
Renal Dosing Master: fast drug lookup
GlobalRPh source record

Sotalol

Read renal action and limits

Betapace / Sotalol hydrochloride

READ THE SOURCE-SPECIFIC ANSWER

Renal guidance at a glance

Cautions / source differences (1)

Use the renal measure and units named by this source. Confirm product, indication, age, stable versus changing kidney function, and exact dialysis modality. The selected summary is not a complete prescribing monograph. Renal method and dosing checklist

Choose a source to read (3)

Display order is not a clinical ranking. Date of retrieval is not the label revision date. Sources are never merged into one regimen. Other sources and conflicts remain below.

1 additional source qualifications - review before use
Betapace - product and source limitations

Use the full initiation or reinitiation protocol. Hemodialysis removes some drug but the label supplies no dialysis regimen.

Before applying: Apply only to the stated formulation, indication and renal population.

Also check: Betapace - product and source limitations

Official source

Betapace - labeled renal guidance

Renal action and limits

Sotalol hydrochloride (Betapace), oral tablet
Creatinine clearance (CrCl), mL/min

Action or finding
In renal impairment select the interval by CrCl, monitor heart rate and QTc, and allow at least five doses at the appropriate interval before increasing the dose.
Limits and monitoring
Use the full initiation or reinitiation protocol. Hemodialysis removes some drug but the label supplies no dialysis regimen.
Before use
Apply only to the stated formulation, indication and renal population.

DailyMed SPL version 2, posted Dec 20, 2024 | Selected sections checked 2026-11-07. Independent clinical review pending.

Choose a product and source Betapace | GlobalRPh RX passage All evidence
Product / population
Sotalol hydrochloride (Betapace), oral tablet
Renal measure
Creatinine clearance (CrCl), mL/min
Source revision
DailyMed SPL version 2, posted Dec 20, 2024
Retrieved
2026-11-07 (not the revision date)
Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

Renal guidance: 2.5 Dosage for Patients with Renal Impairment / 8.6 Renal Impairment

In renal impairment select the interval by CrCl, monitor heart rate and QTc, and allow at least five doses at the appropriate interval before increasing the dose. Use the full initiation or reinitiation protocol. Hemodialysis removes some drug but the label supplies no dialysis regimen.

Source revision: DailyMed SPL version 2, posted Dec 20, 2024 | Retrieved: 2026-11-07. Retrieval date is not the revision date.

Source: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a6a7702f-36c9-45db-b640-453dc324baee

Scope: Selected renal passages reviewed; independent clinician adjudication pending. GlobalRPh v7.4.

Full source card / provenance

All sources, comparison tools and evidence navigation
Added / rechecked in v7.4

Read source findings

Read source-specific summaries and their qualifications. Retrieval date is not label revision date. Recent review does not imply clinical approval.

Official

Betapace - labeled renal guidance

Retrieved: 2026-11-07
Source revision: DailyMed SPL version 2, posted Dec 20, 2024

Renal measure: Creatinine clearance (CrCl), mL/min

Read this dated source finding
Rxlist

Betapace - selected RX renal passage

Retrieved: 2026-11-07
Source revision: Mirror revision not established in the reviewed passage.

Renal measure: Use the renal measure explicitly present in the RX passage.

Read this dated source finding
See all retained evidence sources
Source-first renal review

Evidence sources and renal implications

Choose a source to jump directly to its locally stored result. Qualitative precautions and evidence gaps remain visible even when no numerical clearance schedule is supplied.

Read 1 source difference / applicability notes

GlobalRPh RX List

Betapace - selected RX renal passage

Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

Sotalol hydrochloride (Betapace), oral tablet

Renal method: Use the renal measure explicitly present in the RX passage.
Retrieved: 2026-11-07

Source presence is not independent validation. A label mirror is not a second independent source; review the original reference and exact formulation.

Product / population check

Confirm the exact formulation before using a renal source

These links compare product identities, not interchangeable doses. A selected summary is not a complete prescribing monograph.

Source-specific review points

Read the attributed comparison notes and source cards below. No conflict has been silently adjudicated.

Source-quality holds
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Search the stored clinical text

Locate a word or phrase within this drug's source summaries. Choose all sources or one source to focus the search. The selection never hides warnings or source text, changes a dose, or proves that a renal finding is absent.

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All source summaries, original wording and provenance
Before applying a renal protocol

Check the setting. Compare whole sources.

No patient-specific dose is calculated. Context choices only display reminders; they do not validate, hide or change any regimen.

Share a reproducible source review

Choose sources below, then open a print-ready comparison with product scope, renal method, dates and cautions. Links can pin the exact local cards; they never contain patient values or choose a dose.

Open / share selected sources

Select two distinct source versions. The complete stored summaries will appear below.

Build a source-review outline for documentation

This creates a blank decision outline with the source identities you select, not a dose recommendation or completed clinical assessment. No patient fields are collected, saved or sent. Complete the clinical decisions in your approved documentation system.

Choose one or two sources above or use the source checkboxes below.

Renal-context checklist: population, kidney trend and dialysis

These prompts are a reading aid, not a prescription checklist or proof that all requirements have been met. No selections are stored or sent to a server.

Read the exact source scope, renal metric and date before selecting a row. No applicability assessment has been performed.

See source-specific renal methods and the clinical interpretation guide for the supporting context.

Read before choosing a regimen

Source differences and product cautions

Search differences across all drugs

These are specific issues found during source review, not an automated judgment that one source is universally correct. A label mirror and its original label are not independent evidence.

Source scope / renal recommendation differences

Betapace - product and source limitations

Use the full initiation or reinitiation protocol. Hemodialysis removes some drug but the label supplies no dialysis regimen.

How to use this: Apply only to the stated formulation, indication and renal population.

Selected renal passages reviewed; independent clinician adjudication pending.

Go directly to the relevant source section

Renal dosing and precautions

Choose a source, then jump to its renal or dialysis section. These links locate stored text; they do not merge regimens or certify that sources agree.

Independent clinical review is pending. These selected summaries are not an approved institutional dosing protocol. Confirm the exact product, the complete current source and local policy before use.

No dialysis or renal heading shown? Read the complete source summary. Absence of a heading is not evidence that dose adjustment is unnecessary.

Compare or copy source versions

All content below is stored locally. Read a whole source version; do not combine its dose with another source's interval, renal metric or dialysis assumptions.

Choose two source checkboxes below.
Historical source content is not a current prescription. Original GlobalRPh recommendations are preserved, not automatically certified as current. Product-label and professional additions below are separately attributed. Confirm indication, population, kidney-function method, monitoring and the full prescribing information before applying a regimen.

Important source distinctions

High-risk QT-active drug: the historical source is not a complete initiation/reinitiation, QT, electrolyte or monitored-titration protocol. Do not apply its nonspecific HD supplement automatically across indications/products.

Locally stored source content

Original GlobalRPh protocol

Clinical facts and comments transcribed into a structured reading format. Read the original source for its complete context: https://globalrph.com/renal/sotalol/

Usual adult ventricular-arrhythmia dosing

Start 80 mg orally twice daily; increase gradually to 240-320 mg/day, allowing 3 days between increases. Most patients respond to 160-320 mg/day in 2-3 doses in the source.

GRPH-sotalol-01 · Source section: Usual adult ventricular-arrhythmia dosingRenal section finder

Renal Dosing - ventricular arrhythmias

Betapace/Sorine source table, CrCl mL/min: above 60, every 12 hours; 30-60, every 24 hours; 10-30, every 36-48 hours; below 10, individualize.

GRPH-sotalol-02 · Source section: Renal Dosing - ventricular arrhythmiasRenal section finder

Renal Dosing - atrial fibrillation/flutter

Betapace AF historical table: CrCl above 60, every 12 hours; 40-60, every 24 hours; below 40, contraindicated.

GRPH-sotalol-03 · Source section: Renal Dosing - atrial fibrillation/flutterRenal section finder

Dialysis comments

The source proposes giving after HD or an additional 80 mg dose. PD does not remove sotalol, so no PD supplement is described.

GRPH-sotalol-04 · Source section: Dialysis commentsRenal section finder
Separate U.S. product-label layer

FDA / DailyMed dosing and renal information

Official

Betapace - labeled renal guidance

Open original reference

Open / share this exact local source

DailyMed / product prescribing information · Sotalol hydrochloride (Betapace), oral tablet

Renal method: Creatinine clearance (CrCl), mL/min
Source date: DailyMed SPL version 2, posted Dec 20, 2024
Retrieved: 2026-11-07

Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

Selected renal passages reviewed; independent clinician adjudication pending.

Renal guidance: 2.5 Dosage for Patients with Renal Impairment / 8.6 Renal Impairment

In renal impairment select the interval by CrCl, monitor heart rate and QTc, and allow at least five doses at the appropriate interval before increasing the dose. Use the full initiation or reinitiation protocol. Hemodialysis removes some drug but the label supplies no dialysis regimen.

RDM74-betapace-official-1 · Source locator: Renal guidance: 2.5 Dosage for Patients with Renal Impairment / 8.6 Renal Impairment

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a6a7702f-36c9-45db-b640-453dc324baee
Retrieved
2026-11-07
Renal-function method
Creatinine clearance (CrCl), mL/min
Source date/version
DailyMed SPL version 2, posted Dec 20, 2024
Hash meaning
SHA-256 of the local selected-source summary
Local summary SHA-256
9ce8755dc5591500c1fdcaa2b3e8d7d33f72dd8a97204b5e46c342e20ffa35df
Locally imported selected renal sections

GlobalRPh RX List renal information

Rxlist

Betapace - selected RX renal passage

Open original reference

Open / share this exact local source

GlobalRPh RX List / product-label mirror · Sotalol hydrochloride (Betapace), oral tablet

Renal method: Use the renal measure explicitly present in the RX passage.
Source date: Mirror revision not established in the reviewed passage.
Retrieved: 2026-11-07

Label mirror, not independent corroboration. This is selected locally stored RX List content. Full monograph import and current official-label review are not implied.
Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.

Selected renal passages reviewed; independent clinician adjudication pending.

RX List: selected renal passage

The renal subsection lengthens intervals or lowers doses and requires adequate time between increases.

RDM74-betapace-rxlist-1 · Source locator: RX List: selected renal passage

Source-specific limits

This mirror and the underlying product label share a source family.

Source identity and provenance
Source family
product_label_mirror
Source
https://globalrph.com/rx-list/betapace-drug/
Retrieved
2026-11-07
Renal-function method
Use the renal measure explicitly present in the RX passage.
Source date/version
Mirror revision not established in the reviewed passage.
Hash meaning
SHA-256 of the local selected-source summary
Local summary SHA-256
76682dce2bd4a7459c5e2f43cc031674030792ba38f8cc2885376ff15153325e

Provenance and preservation

Additional summaries stored on this page: 1 official-label, 1 RX List, 0 professional, 0 handbook. Empty additional-source groups are not shown. A missing layer is not a no-adjustment recommendation.

Original source
https://globalrph.com/renal/sotalol/
Source retrieval
2026-09-05. This is not the source publication or label revision date.
Original source type
globalrph individual
Local text SHA-256
ac5573c5850ee2ac1f847998d0530e560784ff9b26bd6a94d8916b4336aca9c3
Import versus clinical validation
Source-section locators identify where retained content came from. A source-section identifier does not assert that every numeric statement has been independently corroborated. The local text hash is not a hash of original HTML, an FDA PDF or SPL XML.

The original individual GlobalRPh pages commonly cite NIH/NLM DailyMed and instruct readers to review the applicable package insert for updates. That historical reference is preserved as context; it is not counted as an independently retrieved current label.

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